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0 CITY OF OSHKOSH No 122336
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 845 NICOLET AVE Owner WILLIAM J PABLE JR Create Date 10/30/2006
Contractor TOWN COUNTRY ELECTRIC Category 634 Residential -Service Change Plan
Service 0 New Change O Temp O N/A Type Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use /Nature of SFR/200 AMP service change and miscellaneous work.
Work
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: a Date 10/30/2006
Permit Voided Parcel Id 1523390000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 627 APPLETON WI 54912_ 627 Telephone Number 920 225 -6507
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/38/86 14:88:12 Faith Technolo ies 19292365884
g 928 738 1515 Page 882
Mar 14 02 06:20a Oshkosh Inspections 820 -236 -5084 p.6
Division of Inspection Services
215 Church Avenue
x130
Oshkosh, SI 54903 -1130
Pax (920) 236 -5084
Phone (920) 236 -5050.
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ff DATE I Q" 30" o
JOB ADDRESS g` 5 S CO et A vt.
O W N E R 1 1 PG. 11 t°
CONTRACTOR Try W n c. .('�l� n-�- rc. E k (74 i s
cnscx B( ALL APPLICABLE
USE CATEGORY
Iffl"Single Family ODuplex OMulti- Family ❑Rental ()Commercial ❑Industrial
SERVICE DNew ❑Temporary TYPE 'Overhead ()Not Applicable
UrChange ❑Not Applicable ❑underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles Circuits
Phase
Amps OO Switches Fixtures
cam= la ALL APPLICABLE
❑Range ❑Di shwas her ❑Garbage Disposal ❑DRYER ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A /C ❑Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEINQ DONE a OD
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M Lo rk II
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Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to
Inspection Services, PO Box 1128, Oshkosh WI 54908- 1128. Commencing work
without percait(s) will result in fees being doubled or $100.00 plus the normal
permit fee, which ever is greater.
OR
if you are contractor participating in the Permit Pee Account System and have adequate
funds, check here if you want this processed through your account
VALUE (Including labor and all materials including light fixtures) lR co
MASTER ELECTRICIAN 1 7 7 .OD
3/02